nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.04.2012 | Knee

Rotatory knee laxity tests and the pivot shift as tools for ACL treatment algorithm

verfasst von: Volker Musahl, Sebastian Kopf, Stephen Rabuck, Roland Becker, Willem van der Merwe, Stefano Zaffagnini, Freddie H. Fu, Jon Karlsson

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

The goal of anterior cruciate ligament (ACL) reconstruction surgery is to eliminate the pivot shift phenomenon. Different injury mechanisms and injury patterns may lead to specific knee laxity patterns. Computer navigation is helpful for the surgeon during examination under anesthesia. Surgical treatment may have to be altered if high-grade laxity is detected preoperatively for example by utilizing a computer navigation that is a helpful adjunct for surgeons during examination under anesthesia. A typical case for revision ACL reconstruction is presented. This article describes several techniques of laxity assessments. Based on the type and degree of pathologic laxity, a treatment algorithm has been developed.

Level of evidence V.

Ait Si Selmi T, Fithian D, Neyret P (2006) The evolution of osteoarthritis in 103 patients with ACL reconstruction at 17 years follow-up. Knee 13(5):353–358PubMedCrossRef

Amis AA, Dawkins GP (1991) Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg Br 73(2):260–267PubMed

Bedi A, Musahl V, Lane C, Citak M, Warren RF, Pearle AD (2010) Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis. Knee Surg Sports Traumatol Arthrosc 18(9):1269–1276PubMedCrossRef

Benjaminse A, Gokeler A, van der Schans CP (2006) Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. J Orthop Sports Phys Ther 36(5):267–288PubMed

Bignozzi S, Zaffagnini S, Lopomo N, Fu FH, Irrgang JJ, Marcacci M (2010) Clinical relevance of static and dynamic tests after anatomical double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 18(1):37–42PubMedCrossRef

Bignozzi S, Zaffagnini S, Lopomo N, Martelli S, Iacono F, Marcacci M (2009) Does a lateral plasty control coupled translation during antero-posterior stress in single-bundle ACL reconstruction? An in vivo study. Knee Surg Sports Traumatol Arthrosc 17(1):65–70PubMedCrossRef

Chu CR, Beynnon BD, Buckwalter JA, Garrett WE Jr, Katz JN, Rodeo SA, Spindler KP, Stanton RA (2011) Closing the gap between bench and bedside research for early arthritis therapies (EARTH): report from the AOSSM/NIH U-13 Post-Joint Injury Osteoarthritis Conference II. Am J Sports Med 39(7):1569–1578PubMedCrossRef

Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, Kaufman KR (1994) Fate of the ACL-injured patient. A prospective outcome study. Am J Sports Med 22(5):632–644PubMedCrossRef

Dejour H, Neyret P, Boileau P, Donell ST (1994) Anterior cruciate reconstruction combined with valgus tibial osteotomy. Clin Orthop Relat Res 299:220–228PubMed

10.

Ferretti A, Monaco E, Labianca L, Conteduca F, De Carli A (2008) Double-bundle anterior cruciate ligament reconstruction: a computer-assisted orthopaedic surgery study. Am J Sports Med 36(4):760–766PubMedCrossRef

11.

Fetto JF, Marshall JL (1979) Injury to the anterior cruciate ligament producing the pivot-shift sign. J Bone Joint Surg Am 61(5):710–714PubMed

12.

Fithian DC, Paxton LW, Goltz DH (2002) Fate of the anterior cruciate ligament-injured knee. Orthop Clin North Am 33(4):621–636PubMedCrossRef

13.

Giffin JR, Vogrin TM, Zantop T, Woo SL, Harner CD (2004) Effects of increasing tibial slope on the biomechanics of the knee. Am J Sports Med 32(2):376–382PubMedCrossRef

14.

Hoshino Y, Kuroda R, Nagamune K, Yagi M, Mizuno K, Yamaguchi M, Muratsu H, Yoshiya S, Kurosaka M (2007) In vivo measurement of the pivot-shift test in the anterior cruciate ligament-deficient knee using an electromagnetic device. Am J Sports Med 35(7):1098–1104PubMedCrossRef

15.

Irrgang JJ, Delitto A, Hagen B, Huber F, Pezzullo D (1995) Rehabilitation of the injured athlete. Orthop Clin North Am 26(3):561–577PubMed

16.

Ishibashi Y, Tsuda E, Tazawa K, Sato H, Toh S (2005) Intraoperative evaluation of the anatomical double-bundle anterior cruciate ligament reconstruction with the OrthoPilot navigation system. Orthopedics 28(10 Suppl):1277–1282

17.

Ishibashi Y, Tsuda E, Yamamoto Y, Tsukada H, Toh S (2009) Navigation evaluation of the pivot-shift phenomenon during double-bundle anterior cruciate ligament reconstruction: is the posterolateral bundle more important? Arthroscopy 25(5):488–495PubMedCrossRef

18.

Johnson DL, Urban WP Jr, Caborn DN, Vanarthos WJ, Carlson CS (1998) Articular cartilage changes seen with magnetic resonance imaging-detected bone bruises associated with acute anterior cruciate ligament rupture. Am J Sports Med 26(3):409–414PubMed

19.

Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ (2004) Relationships between objective assessment of ligament stability and subjective assessment of symptoms and function after anterior cruciate ligament reconstruction. Am J Sports Med 32(3):629–634PubMedCrossRef

20.

Kopf S, Musahl V, Tashman S, Szczodry M, Shen W, Fu FH (2009) A systematic review of the femoral origin and tibial insertion morphology of the ACL. Knee Surg Sports Traumatol Arthrosc 17(3):213–219PubMedCrossRef

21.

Kopf S, Pombo MW, Shen W, Irrgang JJ, Fu FH (2011) The ability of 3 different approaches to restore the anatomic anteromedial bundle femoral insertion site during anatomic anterior cruciate ligament reconstruction. Arthroscopy 27(2):200–206PubMedCrossRef

22.

Kopf S, Pombo MW, Szczodry M, Irrgang JJ, Fu FH (2011) Size variability of the human anterior cruciate ligament insertion sites. Am J Sports Med 39(1):108–113PubMedCrossRef

23.

Labbe DR, de Guise JA, Mezghani N, Godbout V, Grimard G, Baillargeon D, Lavigne P, Fernandes J, Ranger P, Hagemeister N (2010) Feature selection using a principal component analysis of the kinematics of the pivot shift phenomenon. J Biomech 43(16):3080–3084PubMedCrossRef

24.

Lane CG, Warren RF, Stanford FC, Kendoff D, Pearle AD (2008) In vivo analysis of the pivot shift phenomenon during computer navigated ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 16(5):487–492PubMedCrossRef

25.

Lopomo N, Bignozzi S, Martelli S, Zaffagnini S, Iacono F, Visani A, Marcacci M (2009) Reliability of a navigation system for intra-operative evaluation of antero-posterior knee joint laxity. Comput Biol Med 39(3):280–285PubMedCrossRef

26.

Lopomo N, Zaffagnini S, Bignozzi S, Visani A, Marcacci M (2010) Pivot-shift test: analysis and quantification of knee laxity parameters using a navigation system. J Orthop Res 28(2):164–169PubMed

27.

Lopomo N, Zaffagnini S, Signorelli C, Bignozzi S, Giordano G, Marcheggiani Muccioli GM, Visani A (2011) An original clinical methodology for non-invasive assessment of pivot-shift test. Comput Methods Biomech Biomed Eng. doi:10.1080/10255842.2011.591788

28.

Losee RE (1983) Concepts of the pivot shift. Clin Orthop Relat Res 172:45–51PubMed

29.

Markolf KL, Park S, Jackson SR, McAllister DR (2008) Simulated pivot-shift testing with single and double-bundle anterior cruciate ligament reconstructions. J Bone Joint Surg Am 90(8):1681–1689PubMedCrossRef

30.

Martelli S, Zaffagnini S, Bignozzi S, Lopomo N, Marcacci M (2007) Description and validation of a navigation system for intra-operative evaluation of knee laxity. Comput Aided Surg 12(3):181–188PubMed

31.

McLean SG, Oh YK, Palmer ML, Lucey SM, Lucarelli DG, Ashton-Miller JA, Wojtys EM (2011) The relationship between anterior tibial acceleration, tibial slope, and ACL strain during a simulated jump landing task. J Bone Joint Surg Am 93(14):1310–1317PubMedCrossRef

32.

Meredick RB, Vance KJ, Appleby D, Lubowitz JH (2008) Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med 36(7):1414–1421PubMedCrossRef

33.

Monaco E, Labianca L, Conteduca F, De Carli A, Ferretti A (2007) Double bundle or single bundle plus extraarticular tenodesis in ACL reconstruction? A CAOS study. Knee Surg Sports Traumatol Arthrosc 15(10):1168–1174PubMedCrossRef

34.

Monaco E, Labianca L, Maestri B, De Carli A, Conteduca F, Ferretti A (2009) Instrumented measurements of knee laxity: KT-1000 versus navigation. Knee Surg Sports Traumatol Arthrosc 17(6):617–621PubMedCrossRef

35.

Musahl V, Ayeni OR, Citak M, Irrgang JJ, Pearle AD, Wickiewicz TL (2010) The influence of bony morphology on the magnitude of the pivot shift. Knee Surg Sports Traumatol Arthrosc 18(9):1232–1238PubMedCrossRef

36.

Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD (2010) The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med 38(8):1591–1597PubMedCrossRef

37.

Oh YK, Kreinbrink JL, Ashton-Miller JA, Wojtys EM (2011) Effect of ACL transection on internal tibial rotation in an in vitro simulated pivot landing. J Bone Joint Surg Am 93(4):372–380PubMedCrossRef

38.

Palmer I (2007) On the injuries to the ligaments of the knee joint: a clinical study. 1938. Clin Orthop Relat Res 454:17–22PubMedCrossRef

39.

Pernin J, Verdonk P, Si Selmi TA, Massin P, Neyret P (2010) Long-term follow-up of 24.5 years after intra-articular anterior cruciate ligament reconstruction with lateral extra-articular augmentation. Am J Sports Med 38(6):1094–1102PubMedCrossRef

40.

Pombo MW, Shen W, Fu FH (2008) Anatomic double-bundle anterior cruciate ligament reconstruction: where are we today? Arthroscopy 24(10):1168–1177PubMedCrossRef

41.

Rotterud JH, Risberg MA, Engebretsen L, Aroen A (2011) Patients with focal full-thickness cartilage lesions benefit less from ACL reconstruction at 2–5 years follow-up. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1739-y

42.

Sakane M, Livesay GA, Fox RJ, Rudy TW, Runco TJ, Woo SL (1999) Relative contribution of the ACL, MCL, and bony contact to the anterior stability of the knee. Knee Surg Sports Traumatol Arthrosc 7(2):93–97PubMedCrossRef

43.

Slocum DB, Larson RL (1968) Rotatory instability of the knee. Its pathogenesis and a clinical test to demonstrate its presence. J Bone Joint Surg Am 50(2):211–225PubMed

44.

Steckel H, Murtha PE, Costic RS, Moody JE, Jaramaz B, Fu FH (2007) Computer evaluation of kinematics of anterior cruciate ligament reconstructions. Clin Orthop Relat Res 463:37–42PubMed

45.

Tashman S, Kopf S, Fu FH (2008) The kinematic basis of ACL reconstruction. Oper Tech Sports Med 16(3):116–118PubMedCrossRef

46.

Thomee R, Kaplan Y, Kvist J, Myklebust G, Risberg MA, Theisen D, Tsepis E, Werner S, Wondrasch B, Witvrouw E (2011) Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 19(11):1798–1805PubMedCrossRef

47.

Thomee R, Werner S (2011) Return to sport. Knee Surg Sports Traumatol Arthrosc 19(11):1795–1797PubMedCrossRef

48.

van Eck CF, Kopf S, van Dijk CN, Fu FH, Tashman S (2011) Comparison of 3-dimensional notch volume between subjects with and subjects without anterior cruciate ligament rupture. Arthroscopy 27(9):1235–1241PubMedCrossRef

49.

Zaffagnini S, Bignozzi S, Martelli S, Imakiire N, Lopomo N, Marcacci M (2006) New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results. Knee Surg Sports Traumatol Arthrosc 14(9):811–816PubMedCrossRef

50.

Zaffagnini S, Bignozzi S, Martelli S, Lopomo N, Marcacci M (2007) Does ACL reconstruction restore knee stability in combined lesions?: an in vivo study. Clin Orthop Relat Res 454:95–99PubMedCrossRef

51.

Zaffagnini S, Bruni D, Martelli S, Imakiire N, Marcacci M, Russo A (2008) Double-bundle ACL reconstruction: influence of femoral tunnel orientation in knee laxity analysed with a navigation system—an in vitro biomechanical study. BMC Musculoskelet Disord 9:25PubMedCrossRef

52.

Zaffagnini S, Klos TV, Bignozzi S (2010) Computer-assisted anterior cruciate ligament reconstruction: an evidence-based approach of the first 15 years. Arthroscopy 26(4):546–554PubMedCrossRef

53.

Zaffagnini S, Signorelli C, Lopomo N, Bonanzinga T, Marcheggiani Muccioli GM, Bignozzi S, Visani A, Marcacci M (2011) Anatomic double-bundle and over-the-top single-bundle with additional extra-articular tenodesis: an in vivo quantitative assessment of knee laxity in two different ACL reconstructions. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1589-7

54.

Zantop T, Schumacher T, Diermann N, Schanz S, Raschke MJ, Petersen W (2007) Anterolateral rotational knee instability: role of posterolateral structures. Winner of the AGA-DonJoy award 2006. Arch Orthop Trauma Surg 127(9):743–752PubMedCrossRef

Titel: Rotatory knee laxity tests and the pivot shift as tools for ACL treatment algorithm
verfasst von: Volker Musahl
Sebastian Kopf
Stephen Rabuck
Roland Becker
Willem van der Merwe
Stefano Zaffagnini
Freddie H. Fu
Jon Karlsson
Publikationsdatum: 01.04.2012
Verlag: Springer-Verlag
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 4/2012
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1857-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Rotatory knee laxity tests and the pivot shift as tools for ACL treatment algorithm

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2012

The role of static and dynamic rotatory laxity testing in evaluating ACL injury

Comparison of three non-invasive quantitative measurement systems for the pivot shift test

Quantitative measurement of the pivot shift, reliability, and clinical applications

Rotatory knee laxity and the pivot shift

Static rotational knee laxity in anterior cruciate ligament injuries

Influence of individual characteristics on static rotational knee laxity using the Rotameter

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie